Active NPIOrganization

Evergreen Wellness Center, LLC

Psychologist, Clinical in Taunton, Massachusetts

NPI Number1467063875
Practice location
171 Highland St Apt 303, Taunton, MA 02780-4446
Fax
508-967-7194
Last updated
May 24, 2022

Evergreen Wellness Center, LLC is a healthcare organization based in Taunton, MA. Evergreen Wellness Center, LLC practices in Taunton, MA. The NPI Number for Evergreen Wellness Center, LLC is 1467063875. The current practice location address for Evergreen Wellness Center, LLC is 171 Highland St Apt 303, Taunton, MA 02780-4446 and can be reached out via phone at 508-386-2094 and via fax at 508-967-7194.

Provider Profile Details

NPI Number
1467063875
Provider Name
Evergreen Wellness Center, LLC
Provider Entity Type
Organization
Address
171 Highland St Apt 303, Taunton, MA 02780-4446
Phone Number
508-386-2094
Fax Number
508-967-7194
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Rebecca Nili Uth, PSYD · Manager · 508-386-2094
Provider Enumeration Date
August 11, 2020
Last Update Date
May 24, 2022
Certification Date
May 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 Highland St Apt 303
Taunton, MA 02780-4446
Zip
02780-4446
Phone Number
508-386-2094
Fax Number
508-967-7194
Taunton, MA 02780Get directions →

Provider Business Mailing Address Details

Address
Po Box 767
West Warwick, RI 02893-0610
City
West Warwick
State
RI
Zip
02893-0610
Phone Number
508-386-2094
Fax Number
508-967-7194

License Information

Taxonomy (1)
Social Worker · 104100000X
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evergreen Wellness Center, LLC?

The NPI number of Evergreen Wellness Center, LLC is 1467063875. It was assigned on August 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Evergreen Wellness Center, LLC?

Evergreen Wellness Center, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Evergreen Wellness Center, LLC practice?

The practice location is 171 Highland St Apt 303, Taunton, MA 02780-4446. The office can be reached at 508-386-2094 (phone) or 508-967-7194 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467063875 directly on the NPPES registry website.

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